Coronavirus (COVID-19) updates: Testing payment policy and FAQ for temporary telehealth program

03/27/2020

We’ve put a temporary program in place to reimburse in-network providers for telehealth visits from March 13, 2020 through May 31, 2020. Here are the programs details.

If you have questions about this program, please refer to our Telehealth/Telemedicine and Telephone Call Frequently Asked Questions for answers.

Billing guidelines for COVID-19 testing
ConnectiCare is waiving members’ cost-share for COVID-19 testing as well as the diagnostic visit associated with that testing if Centers for Disease Control and Prevention (CDC) guidelines are met. Please refer to Payment Policy: COVID-19 Billing Guidelines (Commercial/Medicare Advantage) for more information.

Use chest radiography & computed tomography for suspected COVID-19 infection
Our partner, Magellan Healthcare, is recommending following American College of Radiology (ACR) Recommendations for the Use of Chest Radiography and Computed Tomography (CT) for Suspected COVID-19 Infection. Here’s Magellan Healthcare Specialty Update for more information.

National Imaging Associates, Inc. (NIA): Submit authorization requests online
Our partner National Imaging Associates, Inc. (NIA) is asking our provider community to use its website, RadMD.com, to obtain authorizations, upload clinical documentation, and verify authorization requests as often as possible. Please read this announcement from NIA.

NIA manages the preauthorization management of the following services for ConnectiCare:

  1. Cardiac imaging program and implantable devices
  2. Outpatient interventional spine pain management for certain procedures
  3. Outpatient advanced imaging
  4. Inpatient and outpatient spine surgery programs

Free mental health support available through behavioral app for commercial patients
During these stressful times, we want to let you know that Optum, the company that manages and administers ConnectiCare’s behavioral health program, now has an app available called “Sanvello” that will help your commercial patients learn clinical techniques to help them dial down the symptoms of stress, anxiety and depression.

If you see any commercial patients who may benefit from this, please let them know that they can access this app for free under their ConnectiCare commercial plan. Tell them to download the app from Google Play or iTunes or from Optum’s website, liveandworkwell.com, using their medical insurance member identification (ID) number for free access to the premium version.

 

While we believe the information in this communication is accurate as of the date published, it is subject to correction or change during the rapidly evolving response to the COVID-19 outbreak.